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Walden Dissertations and Doctoral Studies

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Understanding Female Somali Noncollege Graduate Immigrant’S Experiences With Cervical Cancer Screening Services, Rachel Anyu Anyu-Lainjo Jan 2021

Understanding Female Somali Noncollege Graduate Immigrant’S Experiences With Cervical Cancer Screening Services, Rachel Anyu Anyu-Lainjo

Walden Dissertations and Doctoral Studies

AbstractHealthcare disparities exist in cervical cancer screening worldwide particularly in women of East African descent compared to non-African women. Previous research has investigated the reasons for low participation in cervical cancer screening among Blacks, minorities, and immigrant populations. Limited research has focused on immigrant women in the United States of America, specifically immigrants from Somalia who currently live in St. Cloud, Minnesota. The purpose of this qualitative study was to understand the perception of Somali immigrant women ages 25 - 45 years who have not earned a college degree and their lived experiences with cervical cancer screening. Two conceptual frameworks …

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Physical Distress And Psychological Outcomes: An Examination Of Hurricane Katrina Rebuilders, Danita M. Muse Jan 2021

Physical Distress And Psychological Outcomes: An Examination Of Hurricane Katrina Rebuilders, Danita M. Muse

Walden Dissertations and Doctoral Studies

AbstractHurricane Katrina made land fall in New Orleans on August 29, 2005. When Hurricane Katrina came ashore at the mouth of the Mississippi River it struck with such vengeance that the protective levees surrounding the New Orleans area were breached. The purpose of this quantitative research is to broaden the understanding the relationship between two phenomena: physical distress and posttraumatic growth among Hurricane Katrina rebuilders who rebuilt their lives 15 years following a natural disaster along the Gulf Coast. The Conservation of Resources and Self-Efficacy Theory were the theoretical framework for this study. The research questions examined if statistically significant …

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Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott Jan 2021

Psychosocial Support During Pregnancy: A Narrative Inquiry Of Low-Income Unmarried Women In Iowa, Summer D. Parrott

Walden Dissertations and Doctoral Studies

Pregnant women who experience high levels of stress and who lack support are at higher risk for negative birth outcomes for themselves and their offspring including preterm labor, low birthweights, and a myriad of other short- and long-term health and behavioral consequences across the lifespan of the child. Unmarried or socioeconomically disadvantaged women lack the most common resources used to protect against the negative effects of stress during pregnancy. A research gap existed regarding the specific types of psychosocial support perceived by low-income unmarried women to be most beneficial at buffering their perceived prenatal stress. The ecological model and the …

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Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre Jan 2021

Alzheimer’S Dementia Care: Impact On Family Caregivers, Rose Anne Pierre

Walden Dissertations and Doctoral Studies

Patients with dementia of the Alzheimer’s type increasingly become dependent on caregivers. Researchers have demonstrated that these caregivers experience serious burdens during their caregiving experiences. They face emotional, physical, and financial burdens. The objective of this paper was to discuss the burden and strains of Alzheimer’s disease on the older caregivers in the United States. The stress process model and the quality of life were used in this study. The study used a descriptive and analytical approach to analyze 2015 secondary data retrieved in 2018 from the National Alliance for Caregiving. The adult Alzheimer’s dementia caregivers were selected. A multiple …

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Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson Jan 2021

Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson

Walden Dissertations and Doctoral Studies

It is very difficult for certain populations to obtain access to healthcare within the United States, particularly in rural areas. Typically, individuals who live in rural areas are far less healthy than those who live in more urbanized areas. Although there have been some improvements made to ensure there is adequate health care for all, barriers still exist. A few examples of these barriers are socioeconomic status, education, and job status. In this study, adult patients from a rural Southeastern hospital were surveyed via those who came to the emergency room seeking care, and via those who came to the …

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Mental Health Literacy Among Rural And Urban Young Adults In Zambia, Etta Y. Mwambwa-Johnson Jan 2021

Mental Health Literacy Among Rural And Urban Young Adults In Zambia, Etta Y. Mwambwa-Johnson

Walden Dissertations and Doctoral Studies

Misconceptions that negatively influence attitudes and beliefs about mental illness are still prevalent in Zambia. Researchers have reported that young adults are the most impacted population for mental disorders in Zambia. Researchers have also highlighted mental health literacy (MHL) as a useful strategy for influencing positive attitudes and beliefs about mental disorders. The purpose of this quantitative cross-sectional study was to investigate the relationship between levels of MHL and attitudes and beliefs about mental illness and health-seeking behaviors of Zambian young adults aged 18 to 24. The study used the health belief theoretical model. A MHL questionnaire was used to …

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Comparison Of Kidney Disease Risks Among African Americans In Maryland And Neighboring Regional States, Nneka A. Offiah Jan 2021

Comparison Of Kidney Disease Risks Among African Americans In Maryland And Neighboring Regional States, Nneka A. Offiah

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) is a recognized global health burden that has affected 10-15% of the general adult population, which is caused by diabetes and has disproportionately affected minority populations such as African Americans. Despite the prevalence of diabetes and hypertension, other variables could predispose this racial group to CKD, hence the need for this study. The purpose of this cross-sectional quantitative study using secondary data analysis methods was to investigate to what extent various factors such as gender, diet, age, exercise, socioeconomic status, diabetes, and hypertension were associated with the prevalence of CKD among African Americans residents in Maryland, …

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Factors Associated With Electronic Cigarette Use Among Adolescents In Texas, Christie Anuli Okonkwo Jan 2021

Factors Associated With Electronic Cigarette Use Among Adolescents In Texas, Christie Anuli Okonkwo

Walden Dissertations and Doctoral Studies

The use of electronic cigarettes among adolescents has remained a major public health concern. Reports have shown that the adolescent brain is still growing and can be affected by nicotine and cancer-causing chemicals contained in e-cigarettes. The rising trend of e-cigarette use by adolescents has reportedly reached an epidemic, and there is a knowledge gap in the factors associated with this behavior and the provision of appropriate interventions for the at-risk population. The purpose of this quantitative, cross-sectional study was to investigate the association between sociodemographic factors and the tendency of Texas adolescents to use e-cigarettes. This study was a …

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Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani Jan 2021

Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani

Walden Dissertations and Doctoral Studies

Globally, vaccination is among the most successful and cost-effective public health practices in the prevention of infectious diseases. The purpose of this study was to examine the child, parental, and geographical risk factors that influence childhood vaccination coverage in Afghanistan. The health belief model and socio-ecological model was used in this study as the theoretical framework to examine the effects of these risk factors on vaccination coverage among children in Afghanistan. Univariate, bivariate, and multivariate tests were conducted within the secondary data analysis of the 2015 Afghanistan national Demographic and Health Survey dataset. Of the 32,420 children aged 0 to …

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Challenges To Successful Health Care Transition Among Hiv Positive Youth With Perinatal Acquisition, Tyler Andrew Termeer Jan 2021

Challenges To Successful Health Care Transition Among Hiv Positive Youth With Perinatal Acquisition, Tyler Andrew Termeer

Walden Dissertations and Doctoral Studies

To ensure stability in the continuum of health care for HIV-positive youth with perinatal acquisition, there is a need for a successful transition from pediatric to adult primary care. However, there are a growing number of perinatally infected HIV-positive young persons remaining in pediatric care beyond the age of 21. Using Mohr’s program theory and a phenomenological approach, the lived experiences of Ohio HIV clinicians were examined to determine why many perinatally infected HIV-positive youths are remaining in pediatric care beyond the age of 21. Audio recorded video interviews via SKYPE were conducted with 12 participants, transcribed, underwent thematic analysis, …

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Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat Jan 2021

Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat

Walden Dissertations and Doctoral Studies

Research has shown that educational programs have led to developing the professional skills and behaviors of front-line health care providers who care for overweight or at-risk obese patients. The purpose of this project was to provide an educational program on best practices for weight management to health care providers at a large military clinic. The project question was developed to assess whether the educational program increased the knowledge and confidence of health care providers in the management of obesity. Utilizing Pender's health promotion model, a quasi-experimental study was conducted in which 15 health care providers, including licensed and unlicensed personnel …

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Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah Jan 2021

Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is marked by excruciating chronic pain, commonly known as pain crisis. SCD healthcare practitioners (HCPs) have been employing palliative care as a mainstream treatment option to manage SCD pain crises using mainly opioid analgesics for years. Due to the current opioid crisis, however, it has become imperative to explore alternative regimens to manage the pain and associated comorbidities of SCD. Thus, the goals of this study included exploring alternative treatment options for SCD pain crisis management with the intent of decreasing SCD patients’ dependency on opioid-based or related analgesics while reducing the frequency of pain crises …

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Social Media And Physical Activity Among African American College Women, Carmen Brown Jan 2021

Social Media And Physical Activity Among African American College Women, Carmen Brown

Walden Dissertations and Doctoral Studies

Among African American (AA) college women, physical activity (PA) is decreasing, with less than 20% participating in moderate-intensity cardio or aerobic exercise. Physical inactivity can lead to increased morbidity and mortality from chronic conditions. There is a need for more research on AA women’s health practices to develop interventions that can lead to sustainable behavior change among this population. More than 70% of AA college women reported using some form of social media (i.e., Facebook, Twitter, Instagram, TikTok, and Snapchat) daily. Social networking sites (SNS) in particular can provide health information, advice, and an open forum for individuals with health …

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Experiences Of Spanish-Speaking Patients Using Interpreter Services With Their Physicians, Rafael Raul Caycho Jan 2021

Experiences Of Spanish-Speaking Patients Using Interpreter Services With Their Physicians, Rafael Raul Caycho

Walden Dissertations and Doctoral Studies

In the United States, many patients cannot speak English well enough to communicate with their medical providers. Many of these patients use professional interpreter services offered by their medical organizations to help with communication, which can lead to miscommunication due to the translation process between patients, interpreters, and physicians, and to incorrect diagnosis and poor health outcomes for the patient. The purpose of this study was to explore the experiences of Spanish-speaking patients who used interpreter services with their physicians. The transmission model was the theoretical framework used to explore the experiences and outcomes for the participants. In this study, …

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Developing A Lifestyle Modification Tool To Prevent And Manage Elevated Blood Pressure Among African Americans, Magdalene Oziwo Jan 2021

Developing A Lifestyle Modification Tool To Prevent And Manage Elevated Blood Pressure Among African Americans, Magdalene Oziwo

Walden Dissertations and Doctoral Studies

Hypertension is a national medical problem that has been predominantly seen amongst African Americans. Within this community, hypertension has been associated with obesity, a sedentary lifestyle, and poor nutrition. It is for this reason that lifestyle modifications can be used as applied tools in the field of nursing in the prevention and management of hypertension among African American patients. This doctoral project was conducted to address the gap in nursing practice that currently exists for the African American population with regards to hypertension. The project focused on a nursing staff education program with 10 participants to promote the implementation of …

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The Association Between Teen Pregnancy And Academic Performance Among Schoolgirls In The Ivory Coast, Moussokoura Ouattara Epse Assoumou Jan 2021

The Association Between Teen Pregnancy And Academic Performance Among Schoolgirls In The Ivory Coast, Moussokoura Ouattara Epse Assoumou

Walden Dissertations and Doctoral Studies

AbstractTeen pregnancy (TP) is a social and public health problem around the world. In developed nations, approximately 16 million girls from aged 15 to 19 years become pregnant each year, presenting health problems for the mother and fetus in addition to economic and social consequences for the communities in which they live. The purpose of this quantitative causal-comparative study, based on the theory of planned behavior, was to explore the association of academic performance and self-efficacy with TP. The research questions examined the association between the TP and the academic performance and self-efficacy while controlling for two covariates (socioeconomic status …

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A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes Jan 2021

A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes

Walden Dissertations and Doctoral Studies

Critical access hospitals (CAHs) encounter unique challenges in terms of providingquality resources to their community, often lacking quality measures and continuity comparable to larger regional and tertiary hospitals. One CAH in rural Minnesota implemented an overnight hospitalist telemedicine service to address concerns with provider resources and quality practice. An evaluation of quality improvement implementation was completed to address data regarding ER transfers and inpatient length of stay (LOS). Following the triple aim framework to improve patient care, population health, and decrease costs, Donabedian’s model of quality improvement was utilized. Three months of pre and postimplementation data were collected one year …

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Nurse Perspectives Of Trauma-Informed Care, Lee Ann Blazejewski Jan 2021

Nurse Perspectives Of Trauma-Informed Care, Lee Ann Blazejewski

Walden Dissertations and Doctoral Studies

There is growing interest in trauma-informed nursing methods to better respond to the needs of patients with histories of adverse childhood experiences and other traumatic events. Recent advances in the understanding of how trauma can negatively affect long-term health outcomes have fostered a shift towards trauma-informed care as a method to decrease patient retraumatization in nursing practice. With the implementation of trauma-informed care in many areas of healthcare and public health, several challenges have been exposed. The purpose of this study was to examine nurses’ lived experience of implementing trauma-informed care into nursing practice for the care of patients with …

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Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter Jan 2021

Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter

Walden Dissertations and Doctoral Studies

AbstractMany college students struggle with having enough money to pay for the costs of college and basic necessities, such as adequate food, which leads to food insecurity. Food insecurity results in a more challenging time focusing on studying and less success in school. This study addressed the lack of a profile of a food-insecure California community college student at Hiker’s Community College (HCC; pseudonym) in the Central Valley of California. The purpose of this quantitative study was to determine the profile of a food-insecure student and to determine relationships between food insecurity and ethnicity, gender, being a first-generation college student, …

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Change Fatigue, Job Satisfaction, And Organizational Commitment Among Nurses, Melissa Kapping Jan 2021

Change Fatigue, Job Satisfaction, And Organizational Commitment Among Nurses, Melissa Kapping

Walden Dissertations and Doctoral Studies

The healthcare environment is complex and ever-changing, which has a direct impact on the nurse. The effects of the constant change to the nurse may result in the development of change fatigue, which causes the loss of trust in the organization, a feeling of resentment, and a sense of apprehension while depleting the individual’s reserves. The purpose of this correlational study guided by Lazarus and Folkman’s stress and coping theory was to determine if there is a relationship between (a) job satisfaction and change fatigue and (b) organizational commitment and change fatigue in nurses who work in an outpatient clinical …

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Educating Nurses To Help Promote Diabetes Self-Care Management In Primary Care, Delphine E. Ikpasaja Jan 2021

Educating Nurses To Help Promote Diabetes Self-Care Management In Primary Care, Delphine E. Ikpasaja

Walden Dissertations and Doctoral Studies

Diabetes is a chronic disease that has a genetic and lifestyle component, and it affects individuals in various parts of the world. A lack of understanding of the nature of the disease has contributed to the complications experienced by patients with diabetes 2 (DM2), such as an elevated glycosylated hemoglobin (A1C) and hyperglycemia. At the clinic where this project took place, patients received an initial teaching but did not get any further support or resources to manage their disease. A four sections of a 30 minutes each was the educational presentation used with staff at the clinic to help them …

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Analyzing Regional Impact Of Caregiving On Obesity Prevalence Among U.S. Adults, Myra Callis Johnston Jan 2021

Analyzing Regional Impact Of Caregiving On Obesity Prevalence Among U.S. Adults, Myra Callis Johnston

Walden Dissertations and Doctoral Studies

Obesity remains one of the leading causes of morbidity and mortality in the United States. Historically, sparse research efforts have focused on informal caregiving as a possible risk factor for developing chronic illnesses across the United States. Identifying additional subgroups at higher risk of becoming obese could provide insights into where public health practitioners, the health care community, and policy makers can direct limited resources through a more targeted approach. The theoretical foundation for the current project was the social cognitive theory. In this secondary correlational analysis using the 2018 Behavioral Risk Factor Surveillance System data set, the relationship between …

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How Cyber Activity Influences Depression And Anxiety In Teenagers, Mary Fridah Gatwiri Muiruri Jan 2021

How Cyber Activity Influences Depression And Anxiety In Teenagers, Mary Fridah Gatwiri Muiruri

Walden Dissertations and Doctoral Studies

Both depression and anxiety have been a focus of scholars since their rates have recently skyrocketed from 5.4 % in 2003 to 20 % currently among teenagers in the United States. Although numerous studies have assessed the association between playing video games and depression, few studies have examined how cyberbullying and screen time contribute to depressive symptoms in teenagers. The purpose of this study was to analyze cyberbullying and screen time on depression in teens. . The exploration of associations between the dependent variable, depression, and the independent variables, screen time, video gaming, and cyberbullying, were guided by Bandura’s social …

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Relationship Between Media Coverage And Child Measles Vaccination Uptake, Tanika Ward Jan 2021

Relationship Between Media Coverage And Child Measles Vaccination Uptake, Tanika Ward

Walden Dissertations and Doctoral Studies

Childhood vaccines have been a source of heated debates between both opponents and proponents of vaccination. Childhood immunizations have proven to be effective and save lives, but antivaccine movements continue. The purpose of this retrospective cross-sectional quantitative study was to determine if there was a significant difference in child measles vaccine uptake based on provider facility type and census region, after adjusting for age and education of mother, for the years 2003–2012, pre-and-post 2007 media coverage deeming vaccines unsafe, and for the years 2013–2017, pre-and-post exposure to measles at Disneyland in 2014–2015 for children aged 19–35 months. The social ecological …

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Prevalence Of Metabolic Risk Factors With Abnormal Obesity Measures Among The Tobagonian Adult Population, Joanne Cruickshank Jan 2021

Prevalence Of Metabolic Risk Factors With Abnormal Obesity Measures Among The Tobagonian Adult Population, Joanne Cruickshank

Walden Dissertations and Doctoral Studies

AbstractAn increase of metabolic risk factors is a public health threat to the well-being of the population of Tobago; this increase is poorly documented and understood. According to a review of evidence-based research, studies linked metabolic risk factors to the high prevalence of obesity. However, there was a gap specific to the Tobagonian population. This cross-sectional quantitative study assessed the evidence of metabolic risk factors to determine whether obesity measures correlated with metabolic risk factors among a sample from Tobago. Guided by the social-ecological theory, a self-reported survey was used to collect primary data from 270 participants during a workplace …

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African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson Jan 2021

African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson

Walden Dissertations and Doctoral Studies

According to recent studies, African American females are most susceptible to HSV-2 and are often asymptomatically diagnosed. Yet, the perceived benefit of discussing sexual health as well as recognizing a need to discuss HSV-2 with a healthcare provider was an identified gap in the existing research and current study findings. The purpose of this qualitative interpretive study was to understand the experiences of African American females who received an asymptomatic HSV-2 diagnosis. The health belief model constructs guided this study. Outlined through semi-structured interviews were the experiences of seven African American females diagnosed with HSV-2 in Fulton County, GA, as …

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Nutrition Practices And Obesity Standards Among Obese, African American Women, Martina Peterson Jan 2021

Nutrition Practices And Obesity Standards Among Obese, African American Women, Martina Peterson

Walden Dissertations and Doctoral Studies

Obesity in the United States has been labeled a national pandemic. Obesity occurs across all populations, regardless of age, sex, race, ethnicity, socioeconomic status, education level, or geographical region; however, it has disproportionately affected African American women. The purpose of this phenomenological study was to gain an understanding of African American women’s behaviors that are preventing them from conforming to nutrition and obesity standards of the body mass index (BMI) guidelines. The targeted population for this study was 10 obese or morbidly obese African American women, ages 30 to 45. The data were collected using telephone interviews due to the …

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Contraceptive Use Among Northern Nigerian Women Ages 15 To 49 Years, Hadiza Balarabe Usman Jan 2021

Contraceptive Use Among Northern Nigerian Women Ages 15 To 49 Years, Hadiza Balarabe Usman

Walden Dissertations and Doctoral Studies

AbstractContraception remains the most effective modern way of controlling unwanted pregnancies among sexually active women. The purpose of this study was to investigate contraceptive use among northern Nigerian women ages 15 to 49 years. The study was anchored on social ecological model, which examined contraceptive use at the individual, interpersonal and community levels. Univariate, bivariate, Chi-square test of independence and logistics regression were conducted using secondary data from the Nigerian Demographic Health Survey 2018. 39,928 women, ages 15 to 49 years in the northwest region of Nigeria were sampled and only 6% used contraceptives. Results showed that a significant association …

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Sociodemographic And Obstetric Predictors Of Cesarean Section In Ghana, Nana Mireku-Gyimah Jan 2021

Sociodemographic And Obstetric Predictors Of Cesarean Section In Ghana, Nana Mireku-Gyimah

Walden Dissertations and Doctoral Studies

The increasing cesarean section (CS) rate in Ghana has severe public health implications as it results in significant maternal and child morbidity and mortality. An assessment of the factors contributing to the increasing CS rate in different settings is imperative to guide the development of interventions. The purpose of this study was to identify the sociodemographic and obstetric predictors of CS in a major referral health facility in Accra, Ghana. This research was grounded in the systems thinking approach and involved the use of a case-control design whereby 2,704 pairs of cases (delivered by CS) and controls (delivered by vaginal …

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Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark Jan 2021

Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark

Walden Dissertations and Doctoral Studies

The increased number of older adults living longer parallels with the growth of public health concerns regarding the impact of sociodemographic and psychosocial factors (e.g., loneliness and social isolation) on older adults' wellbeing. The purpose of this quantitative study was to examine the association between loneliness, social isolation, the combined model of loneliness, and social isolation on wellbeing among older adults when accounting for age, gender, ethnicity, and social support. The socioecological model (SEM) was used to evaluate the multiple levels of environmental determinants for loneliness, social isolation, and wellbeing. The target population included older adults 65 years and older …

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